Organization Active NPI

Perimeter Healthcare Group LLC

Doing business as Optimum Health Dunwoody

  • General Practice Physician
  • Suwanee, GA
National Provider Identifier
1811303928
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PERIMETER HEALTHCARE GROUP LLC
Doing business as
Optimum Health Dunwoody
Practice address
2133 Highway 317
Ste 12-318
Suwanee, GA 30024-2649
Phone
(678) 730-6240
Fax
(678) 730-0280
NPI assigned
Jul 9, 2014
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Shelton
Title
Operations MGR
Phone
(678) 730-6240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
General Practice Physician 208D00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

2133 Highway 317
Ste 12-318
Suwanee, GA 30024-2649

Mailing address

1140 Hammond Dr
Suite 110, BLDG K
Atlanta, GA 30328-5338
Phone (770) 454-8300

Other names 1

  • Optimum Health Dunwoody Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1811303928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR",
            "address_2": "SUITE 110, BLDG K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285338",
            "telephone_number": "770-454-8300",
            "fax_number": "678-730-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 HIGHWAY 317",
            "address_2": "STE 12-318",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242649",
            "telephone_number": "678-730-6240",
            "fax_number": "678-730-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "678-730-6240"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Health Dunwoody",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.